Dear NHS England, How much money is in the National Risk Pool with regard
to Retrospective Review of Continuing Health Care and how would these funds
be used when Retro Review is taking place across England and it's 211 CCG's.

NHS England has assessed your communication as a request under the Freedom
of Information (FOI) Act 2000. As such, please be assured that your
request is being dealt with under the terms of the FOI Act and will be
answered within twenty working days.

For further information regarding the FOI Act, please refer to the
Information Commissioner’s Office (ICO) website. For further information
regarding NHS England and the information it publishes please visit our
website here.

If you have any queries about this request or wish to contact us again,
please email [1][NHS England request email] and the message will be
forwarded appropriately. Please remember to quote the above reference
number in any future communications.

Please do not reply to this email. This message has been sent from a
central mailbox. To communicate with NHS England regarding Freedom of
Information (FOI) requests, enquiries or complaints we ask these are sent
directly to NHS England’s customer contact centre. This is to ensure all
communications are progressed correctly. Their postal address, telephone
number and email details are as follows:- PO Box 16738, Redditch, B97 9PT;
0300 3 11 22 33, [2][NHS England request email].

Thank you for your Freedom of Information (FOI) request dated 5 November
2016.

Your exact request was:-

“How much money is in the National Risk Pool with regard to Retrospective
Review of Continuing Health Care and how would these funds be used when
Retro Review is taking place across England and it's 211 CCG's.”

NHS England does not hold this information.

The term “review” within the National Framework for NHS Continuing
Healthcare (NHS CHC) and NHS-funded Nursing Care (2012) refers to either:

• The process of reviewing eligible cases to reassess care needs to
ensure needs are being met and packages of care remain appropriate and
effective.

Or

• A review of an eligibility decision in the event that the
individual or someone acting on their behalf disagrees with it.

For the purposes of this request we have taken the term “retrospective
review” to mean the latter and we can confirm that NHS England does not
hold this information.

This information is held by individual Clinical Commissioning Groups
(CCGs). As such, you may wish to redirect your enquiry to individual CCGs.
You can find CCG contact information on the NHS Choices website at the
following web link:

We hope this information is helpful. However, if you are dissatisfied, you
have the right to ask for an internal review by writing to us, within two
months of the date of this letter, to:

NHS England

PO Box 16738

REDDITCH

B97 9PT

Email: [3][NHS England request email]

Please quote the reference number FOI-036583 in any future communications.

If you are not content with the outcome of the internal review, you have
the right to apply directly to the Information Commissioner for a
decision. The Information Commissioner’s Office (ICO) can be contacted at:

Please be aware that in line with the Information Commissioner’s directive
on the disclosure of information under the FOI Act, your request will be
anonymised and published on our website as part of our disclosure log.

Please do not reply to this email. This message has been sent from a
central mailbox. To communicate with NHS England regarding Freedom of
Information (FOI) requests, enquiries or complaints we ask these are sent
directly to NHS England’s customer contact centre. This is to ensure all
communications are progressed correctly. Their postal address, telephone
number and email details are as follows:- PO Box 16738, Redditch, B97 9PT;
0300 3 11 22 33, [6][NHS England request email].

Please pass this on to the person who conducts Freedom of Information reviews.

I am writing to request an internal review of NHS England's handling of my FOI request 'National Risk Pool and Retrospective Review of Continuing Health Care'.
I cant believe the naivety of your answer.You want clarification of Retrospective
and Review .Retrospective Review of Continuing Health Care has been in place
since Sept.2012,it was advertised on TV channels,Newspapers,everywhere and
you do not know about it? It is being run by the NHS and is still in operation
today due to overwhelming demand,check your own website.
To say to me ask the CCG's is pointless because they will only say they give money
to NHS England,they dont know what you do with all this cash,so tell me what is
happening with all the money in the National Risk Pool,a simple question.

Thank you for email of 1 December 2016. Please see this email as
acknowledgement of your Internal Review request.

We endeavour to respond to Internal Reviews within 20 working days.
However, please be aware that on some occasions this has been extended to
40 working days. An officer will be allocated to handle your Internal
Review and will update you accordingly where necessary.

If you have any queries about this request or wish to contact us again,
please email [1][NHS England request email] and the message will be
forwarded appropriately. Please remember to quote the above reference
number in any future communications.

Please do not reply to this email. This message has been sent from a
central mailbox. To communicate with NHS England regarding Freedom of
Information (FOI) requests, enquiries or complaints we ask these are sent
directly to NHS England’s customer contact centre. This is to ensure all
communications are progressed correctly. Their postal address, telephone
number and email details are as follows:- PO Box 16738, Redditch, B97 9PT;
0300 3 11 22 33, [2][NHS England request email].

We are writing further to our Internal Review (IR) request acknowledgement
email dated 7 December 2016.

As explained previously, on some occasions, including for this case, the
IR response deadline is extended to 40 working days. As such, we are
aiming to provide you with a response on or before close of play (COP) 31
January 2017.

If you have any queries about this request or wish to contact us again,
please email [1][NHS England request email] and the message will be
forwarded appropriately. Please remember to quote the above reference
number in any future communications.

Please do not reply to this email. This message has been sent from a
central mailbox. To communicate with NHS England regarding Freedom of
Information (FOI) requests, enquiries or complaints we ask these are sent
directly to NHS England’s customer contact centre. This is to ensure all
communications are progressed correctly. Their postal address, telephone
number and email details are as follows:- PO Box 16738, Redditch, B97 9PT;
0300 3 11 22 33, [2][NHS England request email].

How much money is in the National Risk Pool with regard to Retrospective
Review of Continuing Health Care and how would these funds be used when
Retro Review is taking place across England and it's 211 CCG's.

Your IR request was:

“Please pass this on to the person who conducts Freedom of Information
reviews.

I cant believe the naivety of your answer.You want clarification of
Retrospective and Review .Retrospective Review of Continuing Health Care
has been in place since Sept.2012,it was advertised on TV
channels,Newspapers,everywhere and you do not know about it? It is being
run by the NHS and is still in operation today due to overwhelming
demand,check your own website.

To say to me ask the CCG's is pointless because they will only say they
give money to NHS England,they dont know what you do with all this cash,so
tell me what is happening with all the money in the National Risk Pool,a
simple question.”

The FOI Management team have reviewed your request and this letter
provides an outcome of this review.

It was noted that your original response was issued within the statutory
guidelines of 20 working days on Day 19.

It has also assessed whether you had received an appropriate response to
your request and in doing so has again liaised with the relevant team
within NHS England.

Having considered the additional information provided within your Internal
review request the team have now re-considered the position and have
considered that your request was referring to the NHS Continuing
Healthcare Risk Pool set up to pay for Previously Unassessed Periods of
Care (PUPoC).

On that basis we can confirm that the pool has been operating since
2013/14. Each year it has been funded by contributions from CCGs. The
CCGs then submit claims to NHS England for the cash re-imbursement of
payments made by the CCG in respect of claims that have been assessed by
the CCGs as eligible or partially eligible.

CCG contributions to the NHS Continuing Healthcare Risk Pool in 2016/17
are £100m. No further contributions to the Risk Pool are required from
CCGs and any future settlements for PUPoC cases relating to the period
ending 31/3/2012 will be a central pressure for NHS England.

We hope this satisfactorily addresses and explains our handling and
response to your FOI request. However, if you are not content with the
outcome of the internal review, you have the right to apply directly to
the Information Commissioner for a decision. The Information
Commissioner’s Office (ICO) can be contacted at:

Please quote the reference number FOI-036583 in any future communications.

Please do not reply to this email. This message has been sent from a
central mailbox. To communicate with NHS England regarding Freedom of
Information (FOI) requests, enquiries or complaints we ask these are sent
directly to NHS England’s customer contact centre. This is to ensure all
communications are progressed correctly. Their postal address, telephone
number and email details are as follows:- PO Box 16738, Redditch, B97 9PT;
0300 3 11 22 33, [2][NHS England request email] .